Organization
ARIZONA EASTERN STAR RETIREMENT CENTER
Active
Other names
Arizona Eastern Star Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PARHAM (ADMINISTRATOR)
(602) 954-9178
Entity
Organization
Contact information
Practice address
4602 N 24TH ST, PHOENIX, AZ 85016-5253
(602) 833-8344
Mailing address
4602 N 24TH ST, PHOENIX, AZ 85016-5253
(602) 553-8344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
ALC-4559
AZ
314000000X
Skilled Nursing Facility
NCI-307
AZ
Other
Enumeration date
10/10/2005
Last updated
09/11/2025
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